VP, Compliance

InnovAge•Denver, CO

5d•$200,000 - $270,000•Hybrid

About The Position

Under the supervision of the Chief Compliance Officer, the Vice President of Compliance is responsible for developing and maintaining a comprehensive compliance, audit management, and facility oversight plan for InnovAge PACE/LIFE Programs. The Vice President of Compliance leads the direction and management of compliance oversight including supervision of the audit management program and resources; supervision of the facility oversight program; development of policy and procedure management; implementation of compliance education and training, as well as initiation of compliance projects to ensure organizational integrity. The position supports the Chief Compliance Officer in fulfilling her/his oversight role by providing management, oversight, and assessment of the organization's clinical and operational practices compared to regulatory requirements. The Vice President of Clinical Compliance will be tasked with implementing corrective action plans (internal and external) to address risk areas identified. Functional Category: Risk Management and Compliance Auditing and Oversight Estimated Percent of time Spent – 100%

Requirements

Resourceful, highly organized self-starter with a bias towards action and efficiency
Trusted, team player looking to drive success in a fast-paced environment
Solid computer skills, specifically using MS Word, Outlook, and Excel
Excellent oral, written, and interpersonal communication skills, facilitation skills
Data analysis and interpretation aptitude
Innovative problem-solving skills
Excellent presentation skills for both clinical and non-clinical audiences
Eight to Ten years of experience across clinical compliance and/or regulatory functions in a healthcare delivery or healthcare environment
Three to five years of experience managing enterprise level employees and/or teams
Three to five years of experience conducting investigations to determine regulatory compliance
Experience with integration of clinical, operations, and financial data; development of audit, utilization and performance reporting tools; and communication of performance data to healthcare stakeholders
Experience with telecommuting and remote monitoring
Familiar with navigating the electronic medical record (EMR) systems to complete reviews
Strong analytical skills
Works well with numbers, using basic math skills
Formidable team player
Ability to work with multiple and diverse clients and projects
Ability to work with minimal supervision
Must have a state-issued driver’s license, personal transportation, safe driving record, and auto insurance as required by law
Bachelor of Science / related field, or equivalent years of experience

Nice To Haves

Nursing License, RN, preferred, or clinical equivalent
Certification in Healthcare Compliance (CHC) preferred

Responsibilities

Perform and manage audits of documentation, functions, and departments in all business lines to ensure adherence to regulatory guidance.
Manage Regional Directors of Clinical Compliance, Audit Management; Director of Facility Oversight; Compliance Coordinator, and Augmented Audit staff as needed in alignment with the goals of the Compliance Department.
Promote a culture of compliance across the enterprise by serving as a compliance expert resource.
Oversee the organizational practices to assess compliance with regulations and government agencies regarding service documentation.
Increase communications with providers, operations, and nursing to establish working relationships which encourage consistency with compliance practices and expectations.
Lead discussions and develop projects to identify and mitigate compliance issues in practice areas.
Ensure policies and procedures in the practice setting to ensure adherence to applicable laws, rules, and regulations.
Participate in leadership meetings to promote compliance initiatives and respond to concerns raised.
Promptly investigate reports of non-compliance or suspected violations of non-compliance and implement corrective actions as deemed appropriate.
Assist with audit & compliance related special projects as requested.
Develop audit processes and maintain audit tools for use in all lines of business.
Collaborate with members of Corporate Compliance, as part of the compliance team, to share expertise and experience in building a culture of compliance across the organization.
Remain current on federal and state regulations related to physician services and practices.
Provide strong, clear verbal and written communication with an ability to convey complex ideas and information.
Translate complex clinical mandates into operational workflows.
Assists and leads compliance initiatives for State Ready Reviews (SRR) for new Centers.